Maller, Harold Martin

Maller, Harold Martin is an individual health care provider with primary practice located at 3212 N Windsong Dr Ste 200 , Prescott Valley AZ 86314-2255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maller, Harold Martin can be contacted via phone (928) 583-1000.

Contact Information

Primary practice address
3212 N Windsong Dr Ste 200 Prescott Valley AZ 86314-2255
Phone: (928) 583-1000
Fax: (866) 751-4157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G7742 California

Profile Details

NPI number 1598840530
LBN Legal business name Maller, Harold Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598840530 NPPES
California MEDICAID 000G77420
California MEDICAID 420636

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